| LCA CASE NUMBER | I-200-23164-104113 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2023-06-13 |
| DECISION DATE | 2023-06-20 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Physician |
| SOC CODE | 29-1229.04 |
| SOC TITLE | Physical Medicine and Rehabilitation Physicians |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2023-10-01 |
| END DATE | 2026-09-30 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 1 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | Adirondack Interventional Physiatry PC |
| TRADE NAME DBA | Champlain Spine & Pain Management |
| EMPLOYER ADDRESS1 | 4 Feathers Drive |
| EMPLOYER CITY | Plattsburgh |
| EMPLOYER STATE | NY |
| EMPLOYER POSTAL CODE | 12901 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 15183247246 |
| NAICS CODE | 6211 |
| EMPLOYER POC LAST NAME | Bonnabesse |
| EMPLOYER POC FIRST NAME | Thierry |
| EMPLOYER POC JOB TITLE | President |
| EMPLOYER POC ADDRESS1 | 4 Feathers Drive |
| EMPLOYER POC CITY | Plattsburgh |
| EMPLOYER POC STATE | NY |
| EMPLOYER POC POSTAL CODE | 12901 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 15185721464 |
| EMPLOYER POC EMAIL | ThierryBonnabesse@champlainspine.com |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | REICH, ESQ. |
| AGENT ATTORNEY FIRST NAME | ZABRINA |
| AGENT ATTORNEY MIDDLE NAME | VENZON |
| AGENT ATTORNEY ADDRESS1 | ONE CANALSIDE |
| AGENT ATTORNEY ADDRESS2 | 125 MAIN STREET |
| AGENT ATTORNEY CITY | BUFFALO |
| AGENT ATTORNEY STATE | NY |
| AGENT ATTORNEY POSTAL CODE | 14203-2887 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 17168478400 |
| AGENT ATTORNEY EMAIL ADDRESS | ZREICH@PHILLIPSLYTLE.COM |
| LAWFIRM NAME BUSINESS NAME | PHILLIPS LYTLE LLP |
| STATE OF HIGHEST COURT | NY |
| NAME OF HIGHEST STATE COURT | New York State Appellate Division, 4th Department |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 4 Feathers Drive |
| LCA CASE WORKLOC1 CITY | Plattsburgh |
| WORKSITE COUNTY | CLINTON |
| LCA CASE WORKLOC1 STATE | NY |
| WORKSITE POSTAL CODE | 12901 |
| LCA CASE WAGE RATE FROM | 335000 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 208000 |
| PW UNIT OF PAY | Year |
| PW OES YEAR | 7/1/2022 - 6/30/2023 |
| TOTAL WORKSITE LOCATIONS | 2 |
| AGREE TO LC STATEMENT | True |
| H 1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
